Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
1.0.0 - STU1
!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas
Page standards status: Informative | Maturity Level: 1 |
Definitions for the RNDSMedicamentoDispensado resource profile.
Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere
0. Medication | |
Definição | This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. |
Curto | Definition of a Medication |
Controlo | 0..* |
É modificador | false |
Resumo | false |
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
2. Medication.implicitRules | |
Definição | Um ou mais códigos que servem para identificar o tipo de recurso A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Curto | Um conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created |
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Controlo | 0..1 |
Tipo | uri |
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Resumo | true |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. Medication.extension | |
Definição | Conteúdo adicional definido por implementações May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Curto | Extensões adicionaisAdditional content defined by implementations |
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Controlo | 0..1* |
Tipo | Extension |
É modificador | false |
Resumo | false |
Nomes alternativos | extensions, user content |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. Medication.modifierExtension | |
Definição | Extensões que não podem ser ignoradas May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Curto | ExtensõesExtensions that cannot be ignored |
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Controlo | 0..* |
Tipo | Extension |
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Resumo | false |
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Nomes alternativos | extensions, user content |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
8. Medication.code | |
Definição | Nome e terminologia do medicamento fabricado. A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems. |
Curto | Nome do medicamentoCodes that identify this medication |
Comentários | Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). |
Controlo | 10..1 |
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Terminologia dos medicamentoshttp://hl7.org/fhir/ValueSet/medication-codes (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento ) |
Tipo | CodeableConcept |
É modificador | false |
Deve apoiar | true |
Resumo | true |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
10. Medication.code.coding | |
Definição | A reference to a code defined by a terminology system. |
Curto | Code defined by a terminology system |
Comentários | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Controlo | 10..* |
Tipo | Coding |
É modificador | false |
Resumo | true |
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems. |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. Medication.code.coding.system | |
Definição | The identification of the code system that defines the meaning of the symbol in the code. |
Curto | Identity of the terminology system |
Comentários | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
Controlo | 10..1 |
Tipo | uri |
É modificador | false |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Resumo | true |
Requisitos | Need to be unambiguous about the source of the definition of the symbol. |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
14. Medication.code.coding.code | |
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Curto | Symbol in syntax defined by the system |
Controlo | 10..1 |
Tipo | code |
É modificador | false |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Resumo | true |
Requisitos | Need to refer to a particular code in the system. |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. Medication.status | |
Definição | ativo| inativo| entrado com erro A code to indicate if the medication is in active use. |
Curto | ativo| inativo| entrado com erroactive | inactive | entered-in-error |
Comentários | This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. |
Controlo | 0..1 |
Vínculo | Os códigos DEVERÃO ser retirados de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1 )A coded concept defining if the medication is in active use. |
Tipo | code |
É modificador | true porque This element changes the interpretation of all descriptive attributes. |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Deve apoiar | true |
Resumo | true |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Medication.manufacturer | |
Definição | Fabricante do item Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product. |
Curto | Organização FabricanteManufacturer of the item |
Controlo | 10..1 |
Tipo | Reference(BR Core Organization, Organization) |
É modificador | false |
Deve apoiar | true |
Resumo | true |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Medication.form | |
Definição | Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.). Describes the form of the item. Powder; tablets; capsule. |
Curto | Unidade de medida do medicamentopowder | tablets | capsule + |
Comentários | When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. |
Controlo | 10..1 |
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Unidade de Medida de Medicamentohttp://hl7.org/fhir/ValueSet/medication-form-codes (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento ) |
Tipo | CodeableConcept |
É modificador | false |
Deve apoiar | true |
Resumo | false |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Medication.batch | |
Definição | Informação sobre lote e validade da medicação. Information that only applies to packages (not products). |
Curto | Detalhes sobre a medicação.Details about packaged medications |
Controlo | 10..1 |
Tipo | BackboneElement |
É modificador | false |
Deve apoiar | true |
Resumo | false |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. Medication.batch.modifierExtension | |
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Curto | Extensions that cannot be ignored even if unrecognized |
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Controlo | 0..* |
Tipo | Extension |
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Resumo | true |
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Nomes alternativos | extensions, user content, modifiers |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
26. Medication.batch.lotNumber | |
Definição | RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM. The assigned lot number of a batch of the specified product. |
Curto | Lote de medicamento.Identifier assigned to batch |
Controlo | 10..1 |
Tipo | string |
É modificador | false |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Resumo | false |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. Medication.batch.expirationDate | |
Definição | Quando o lote vai expirar When this specific batch of product will expire. |
Curto | Data de validade do medicamento.When batch will expire |
Controlo | 10..1 |
Tipo | dateTime |
É modificador | false |
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão |
Resumo | false |
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere
0. Medication | |
2. Medication.manufacturer | |
Controlo | 1..? |
Deve apoiar | true |
4. Medication.batch | |
Controlo | 1..? |
6. Medication.batch.lotNumber | |
Controlo | 1..? |
8. Medication.batch.expirationDate | |
Controlo | 1..? |
Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere
0. Medication | |||||
Definição | This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use. | ||||
Curto | Definition of a Medication | ||||
Controlo | 0..* | ||||
É modificador | false | ||||
Resumo | false | ||||
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. Medication.id | |||||
Definição | ID exclusivo para referência entre elementos | ||||
Curto | Referenciamento entre elemento | ||||
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Controlo | 0..1 | ||||
Tipo | id | ||||
É modificador | false | ||||
Resumo | true | ||||
4. Medication.meta | |||||
Definição | Metadados adicionais sobre o recurso | ||||
Curto | Metadados sobre o recurso | ||||
Controlo | 0..1 | ||||
Tipo | Meta | ||||
É modificador | false | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Medication.implicitRules | |||||
Definição | Um ou mais códigos que servem para identificar o tipo de recurso | ||||
Curto | Um conjunto de regras sob as quais este conteúdo foi criado | ||||
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Controlo | 0..1 | ||||
Tipo | uri | ||||
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Medication.language | |||||
Definição | A linguagem humana natural do recurso | ||||
Curto | Linguagem do recurso | ||||
Comentários | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Controlo | 0..1 | ||||
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Tipo | code | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Medication.text | |||||
Definição | Um texto narrativo resumindo as informações do recurso | ||||
Curto | Resumo de texto para o recurso, para interpretação humana | ||||
Comentários | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Controlo | 0..1 | ||||
Tipo | Narrative | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | narrative, html, xhtml, display | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Medication.contained | |||||
Definição | Recursos contidos no recurso | ||||
Curto | Recursos contidos | ||||
Comentários | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Controlo | 0..* | ||||
Tipo | Resource | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | inline resources, anonymous resources, contained resources | ||||
14. Medication.extension | |||||
Definição | Conteúdo adicional definido por implementações | ||||
Curto | Extensões adicionais | ||||
Controlo | 0..1 | ||||
Tipo | Extension | ||||
É modificador | false | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. Medication.modifierExtension | |||||
Definição | Extensões que não podem ser ignoradas | ||||
Curto | Extensões | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Medication.identifier | |||||
Definição | Identificador de negócios para este medicamento | ||||
Curto | Identificador de negócios para este medicamento | ||||
Comentários | The serial number could be included as an identifier. | ||||
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão) | ||||
Controlo | 0..* | ||||
Tipo | Identifier | ||||
É modificador | false | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. Medication.code | |||||
Definição | Nome e terminologia do medicamento fabricado. | ||||
Curto | Nome do medicamento | ||||
Comentários | Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one). | ||||
Controlo | 1..1 | ||||
Vínculo | Os códigos DEVERÃO ser retirados de Terminologia dos medicamentos (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento ) | ||||
Tipo | CodeableConcept | ||||
É modificador | false | ||||
Deve apoiar | true | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. Medication.code.id | |||||
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Curto | Unique id for inter-element referencing | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Formato XML | No formato XML, esta propriedade é representada como um atributo. | ||||
Resumo | false | ||||
24. Medication.code.extension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Curto | Additional content defined by implementations | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | extensions, user content | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | Este elemento introduz um conjunto de fatias em Medication.code.extension . As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: | ||||
26. Medication.code.coding | |||||
Definição | A reference to a code defined by a terminology system. | ||||
Curto | Code defined by a terminology system | ||||
Comentários | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Controlo | 1..* | ||||
Tipo | Coding | ||||
É modificador | false | ||||
Resumo | true | ||||
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Medication.code.coding.id | |||||
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Curto | Unique id for inter-element referencing | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Formato XML | No formato XML, esta propriedade é representada como um atributo. | ||||
Resumo | false | ||||
30. Medication.code.coding.extension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Curto | Additional content defined by implementations | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | extensions, user content | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | Este elemento introduz um conjunto de fatias em Medication.code.coding.extension . As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: | ||||
32. Medication.code.coding.system | |||||
Definição | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Curto | Identity of the terminology system | ||||
Comentários | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
Controlo | 1..1 | ||||
Tipo | uri | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Requisitos | Need to be unambiguous about the source of the definition of the symbol. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. Medication.code.coding.version | |||||
Definição | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Curto | Version of the system - if relevant | ||||
Comentários | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão) | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. Medication.code.coding.code | |||||
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Curto | Symbol in syntax defined by the system | ||||
Controlo | 1..1 | ||||
Tipo | code | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Requisitos | Need to refer to a particular code in the system. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. Medication.code.coding.display | |||||
Definição | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Curto | Representation defined by the system | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. Medication.code.coding.userSelected | |||||
Definição | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
Curto | If this coding was chosen directly by the user | ||||
Comentários | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Controlo | 0..1 | ||||
Tipo | boolean | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Requisitos | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. Medication.code.text | |||||
Definição | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Curto | Plain text representation of the concept | ||||
Comentários | Very often the text is the same as a displayName of one of the codings. | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | true | ||||
Requisitos | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. Medication.status | |||||
Definição | ativo| inativo| entrado com erro | ||||
Curto | ativo| inativo| entrado com erro | ||||
Comentários | This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status. | ||||
Controlo | 0..1 | ||||
Vínculo | Os códigos DEVERÃO ser retirados de Medication Status Codes (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1 )A coded concept defining if the medication is in active use. | ||||
Tipo | code | ||||
É modificador | true porque This element changes the interpretation of all descriptive attributes. | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Deve apoiar | true | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. Medication.manufacturer | |||||
Definição | Fabricante do item | ||||
Curto | Organização Fabricante | ||||
Controlo | 1..1 | ||||
Tipo | Reference(BR Core Organization) | ||||
É modificador | false | ||||
Deve apoiar | true | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. Medication.form | |||||
Definição | Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.). | ||||
Curto | Unidade de medida do medicamento | ||||
Comentários | When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form. | ||||
Controlo | 1..1 | ||||
Vínculo | Os códigos DEVERÃO ser retirados de Unidade de Medida de Medicamento (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento ) | ||||
Tipo | CodeableConcept | ||||
É modificador | false | ||||
Deve apoiar | true | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. Medication.amount | |||||
Definição | Quantidade de medicamento na embalagem | ||||
Curto | Quantidade de medicamento | ||||
Controlo | 0..1 | ||||
Tipo | Ratio | ||||
É modificador | false | ||||
Resumo | true | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Medication.ingredient | |||||
Definição | Ingrediente ativo ou inativo | ||||
Curto | Ingrediente ativo ou inativo | ||||
Comentários | The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients. | ||||
Controlo | 0..* | ||||
Tipo | BackboneElement | ||||
É modificador | false | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Medication.ingredient.id | |||||
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Curto | Unique id for inter-element referencing | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Formato XML | No formato XML, esta propriedade é representada como um atributo. | ||||
Resumo | false | ||||
56. Medication.ingredient.extension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Curto | Additional content defined by implementations | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | extensions, user content | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
58. Medication.ingredient.modifierExtension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Curto | Extensions that cannot be ignored even if unrecognized | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Resumo | true | ||||
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Nomes alternativos | extensions, user content, modifiers | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
60. Medication.ingredient.item[x] | |||||
Definição | O ingrediente ou conteúdo real Vinculante: Substâncias ativas de medicamentos - IPS (preferencial): Substâncias medicamentosas SNOMED CT | ||||
Curto | Ingrediente | ||||
Controlo | 1..1 | ||||
Tipo | Escolha de: CodeableConcept, Reference(Substance, Medication) | ||||
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x] | ||||
É modificador | false | ||||
Resumo | false | ||||
Requisitos | The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | Este elemento introduz um conjunto de fatias em Medication.ingredient.item[x] . As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: | ||||
62. Medication.ingredient.item[x]:itemReference | |||||
Nome da fatia | itemReference | ||||
Definição | The actual ingredient - either a substance (simple ingredient) or another medication of a medication. | ||||
Curto | The actual ingredient or content | ||||
Controlo | 1..1 | ||||
Tipo | Reference(Substance, BR Core Medication) | ||||
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x] | ||||
É modificador | false | ||||
Resumo | false | ||||
Requisitos | The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base). | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. Medication.ingredient.isActive | |||||
Definição | Indicador de ingrediente ativo | ||||
Curto | Ingrediente ativo | ||||
Controlo | 0..1 | ||||
Tipo | boolean | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | false | ||||
Requisitos | True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive). | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. Medication.ingredient.strength | |||||
Definição | Uma proporção de dois valores de Quantidade - um numerador e um denominador | ||||
Curto | Uma proporção de dois valores de Quantidade - um numerador e um denominador | ||||
Controlo | 0..1 | ||||
Tipo | Ratio | ||||
É modificador | false | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. Medication.batch | |||||
Definição | Informação sobre lote e validade da medicação. | ||||
Curto | Detalhes sobre a medicação. | ||||
Controlo | 1..1 | ||||
Tipo | BackboneElement | ||||
É modificador | false | ||||
Deve apoiar | true | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. Medication.batch.id | |||||
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Curto | Unique id for inter-element referencing | ||||
Controlo | 0..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Formato XML | No formato XML, esta propriedade é representada como um atributo. | ||||
Resumo | false | ||||
72. Medication.batch.extension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Curto | Additional content defined by implementations | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | false | ||||
Resumo | false | ||||
Nomes alternativos | extensions, user content | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
74. Medication.batch.modifierExtension | |||||
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Curto | Extensions that cannot be ignored even if unrecognized | ||||
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Controlo | 0..* | ||||
Tipo | Extension | ||||
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Resumo | true | ||||
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Nomes alternativos | extensions, user content, modifiers | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
76. Medication.batch.lotNumber | |||||
Definição | RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM. | ||||
Curto | Lote de medicamento. | ||||
Controlo | 1..1 | ||||
Tipo | string | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
78. Medication.batch.expirationDate | |||||
Definição | Quando o lote vai expirar | ||||
Curto | Data de validade do medicamento. | ||||
Controlo | 1..1 | ||||
Tipo | dateTime | ||||
É modificador | false | ||||
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão | ||||
Resumo | false | ||||
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |